Individual
KATIE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 MEDICAL PARK, SUITE 211, WHEELING, WV 26003-6391
(304) 233-6301
(304) 233-8803
Mailing address
30 MEDICAL PARK, SUITE 211, WHEELING, WV 26003-6391
(304) 233-6301
(304) 233-8803
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01712
WV
363AM0700X
Medical Physician Assistant
124
WV
Other
Enumeration date
10/25/2012
Last updated
07/23/2013
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